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Characterizing solid renal neoplasms with MRI in adults.

Publication ,  Journal Article
Allen, BC; Tirman, P; Jennings Clingan, M; Manny, J; Del Gaizo, AJ; Leyendecker, JR
Published in: Abdom Imaging
April 2014

Until recently, most solid renal neoplasms without macroscopic fat were presumed to represent renal cell carcinoma and were indiscriminately treated with nephrectomy. Expanding surgical options and ablative technologies, a growing acceptance of renal mass biopsy, the advent of targeted molecular agents, and advances in our understanding of tumor biology have challenged the wisdom of this approach and are ushering in a potential new era in which therapy is linked to histologic subtype and cytogenetics. This approach mandates evolution of our diagnostic algorithm beyond the distinction between solid and cystic and enhancing and nonenhancing. Computed tomography (CT) has traditionally been the imaging technique of choice for evaluating potential solid renal tumors, in large part due to its widespread availability, high spatial resolution, calcium discrimination, and multiphase, enhanced imaging capabilities. For the most part, however, CT is limited to characterization based upon the attenuation and enhancement characteristics of a lesion and necessitates exposure of patients to ionizing radiation. For these latter reasons, multiparametric magnetic resonance imaging (MRI) is being increasingly used to characterize solid renal masses. The purpose of this manuscript is to review our imaging approach to solid renal masses in adults utilizing MRI with an emphasis on a multiparametric approach augmented by clinical data.

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Published In

Abdom Imaging

DOI

EISSN

1432-0509

Publication Date

April 2014

Volume

39

Issue

2

Start / End Page

358 / 387

Location

United States

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Magnetic Resonance Imaging
  • Kidney Neoplasms
  • Humans
  • Diagnosis, Differential
  • Contrast Media
  • Biopsy
  • Algorithms
  • Aged
 

Citation

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Allen, B. C., Tirman, P., Jennings Clingan, M., Manny, J., Del Gaizo, A. J., & Leyendecker, J. R. (2014). Characterizing solid renal neoplasms with MRI in adults. Abdom Imaging, 39(2), 358–387. https://doi.org/10.1007/s00261-014-0074-4
Allen, Brian C., Philippe Tirman, M. Jennings Clingan, Julia Manny, Andrew J. Del Gaizo, and John R. Leyendecker. “Characterizing solid renal neoplasms with MRI in adults.Abdom Imaging 39, no. 2 (April 2014): 358–87. https://doi.org/10.1007/s00261-014-0074-4.
Allen BC, Tirman P, Jennings Clingan M, Manny J, Del Gaizo AJ, Leyendecker JR. Characterizing solid renal neoplasms with MRI in adults. Abdom Imaging. 2014 Apr;39(2):358–87.
Allen, Brian C., et al. “Characterizing solid renal neoplasms with MRI in adults.Abdom Imaging, vol. 39, no. 2, Apr. 2014, pp. 358–87. Pubmed, doi:10.1007/s00261-014-0074-4.
Allen BC, Tirman P, Jennings Clingan M, Manny J, Del Gaizo AJ, Leyendecker JR. Characterizing solid renal neoplasms with MRI in adults. Abdom Imaging. 2014 Apr;39(2):358–387.

Published In

Abdom Imaging

DOI

EISSN

1432-0509

Publication Date

April 2014

Volume

39

Issue

2

Start / End Page

358 / 387

Location

United States

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Magnetic Resonance Imaging
  • Kidney Neoplasms
  • Humans
  • Diagnosis, Differential
  • Contrast Media
  • Biopsy
  • Algorithms
  • Aged